‘These are that patients at increased risk of IE should be advised of the risks and benefits of prophylaxis, and that antibiotic prophylaxis is not routinely required for invasive dental procedures.

‘The patient should also be advised of the symptoms of IE, of the importance of maintaining good oral health to reduce their risk of IE, and when to seek expert advice.’

Antibiotic use

The Faculty of General Dental Practice (FGDP) has previously raised concerns over advice for antibiotic use against IE.

However, with recent improvements, the faculty has decided to endorse the new guidance.

NICE has also released advice stating that antibiotic prophylaxis is not recommended ‘routinely’ for invasive dental procedures.

‘SDCEP’s implementation advice re-emphasises the NICE CG64 recommendations, but notes that there are a very small number of dental patients that may require “special consideration” for antibiotic prophylaxis,’ Dr Palmer continues.

‘Importantly, SDCEP’s implementation advice shifts the balance of responsibility for the decision on antibiotic prophylaxis for these patients from the dentist to the patient’s cardiologist and to the patient under Montgomery consent.

‘Dentists should ensure they record in the clinical notes any advice from the patient’s cardiologist, and the patient’s consent when a decision is made.’